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2024 Texas State Independent Living Council Membership Application

Welcome & Introductions

Thank you for your interest in serving as a member of the Council. We seek dedicated people to join us and are delighted by your interest. Completing this survey brings you one step closer to joining the council. Once we receive these completed applications, we share them with the governor's office. They will have additional questions for you and forms to complete, but our staff is happy to assist you with that process. Federal law requires that the governor appoints our members, so this is why there is more than one step in becoming a Council member. Note that the governor's office considers candidates aged 18+ who hold American citizenship and are registered voters.

The Texas State Independent Living Council (SILC) is a private nonprofit organization dedicated to ensuring that people with disabilities can choose the direction of their lives, including their level of independence. Council members have a unique responsibility to execute statewide planning and fulfill the responsibilities of the board of director members.
1.First and Last Name:
2.Full Mailing Address including Zip code.
3.Demographic information (optional)
4.Email Address:
5.Preferred Phone Number:
6.Are you a representative or member of an American Indian tribe?  If so, please specify.
7.Are you an Ex-Officio member representing a state agency? If so, what agency do you represent?
8.Are you a person with a disability? If so, please share the nature of your disability (e.g. spinal-cord; visual; cognitive disability).
9.Please check all or any that apply.
10.Would you be able to attend hybrid meetings? (either by participating in person or virtually?
11.The council may hold 4 full-day, in-person meetings on a weekday. This requires considerable time (meeting & travel). Do you have the flexibility to do this? If not, please discuss restrictions in the comment box. (Note: The meetings are scheduled based council member schedules and expenses are reimbursable.)
12.Are you a disability advocate, a representative of a private business, or a representative from an organization who provides services to individuals with a disability? If so, please explain.
13.What interests you about being a Council Member of the Texas State Independent Living Council?
14.What strengths or skills do you think you can contribute as a Member of the Texas State Independent Living Council?
15.Tell us about a challenge or barrier you have overcome in which you learned something or in which you are proud.
16.Please discuss your leadership experience, including board of directors and councils, or your interest in becoming a leader. If you are currently serve on multiple boards, how will you manage your time to fit this in?
17.The work of this council is focused on systems and plans that serve individuals. Please comment about your experience or interest in this kind of work.
18.What questions do you have about council membership?
19.Is there anything else you would like us to know to assist with your recommendation to the Office of the Governor in an effort to be a Texas State Independent Living Council Member? If so, what?
20.Please discuss how you learned about the Council or this opportunity. For instance, were you referred by someone, if so, who?